LOCAL 802 MUSICIANS HEALTH FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOCAL 802 MUSICIANS HEALTH FUND (EIN 13-6198844)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-02
IRS object ID
201222159349300047
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-02T15:07:06-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOULD KOBRICK & SCHLAPP PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13 PARK AVE 14TH FLAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100165902ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN136198844EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOCAL 802 MUSICIANS HEALTH FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOCANameControl
Phone2122454802Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1322 WEST 48TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTOPHER BROCKMEYERName
TitleTrusteeTitle
Date Signed2012-08-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSteven T Schlapp CPAName
Phone2125649451Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRISTOPHER BROCKMEYERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1322 W 48TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100361338ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16874225GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.LOCAL802AFM.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1966YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees306TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10711240ProgramServiceRevenuePriorYear
Program Service Revenue CY10077751ProgramServiceRevenueCY
Investment Income Prior Year410120InvestmentIncomePriorYear
Investment Income Current Year643451InvestmentIncomeCurrentYear
Other Revenue Current Year18355OtherRevenueCurrentYear
Total Revenue Prior Year11121360TotalRevenuePriorYear
Total Revenue Current Year10739557TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year8215991BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY8402046BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1285745OtherExpensePriorYear
Other Expenses Current Year1211572OtherExpensesCurrentYear
Total Expenses Prior Year9501736TotalExpensesPriorYear
Total Expenses Current Year9613618TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1619624RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1125939RevenuesLessExpensesCY
Total Assets BOY15960193TotalAssetsBOY
Total Assets EOY16214627TotalAssetsEOY
Total Liabilities BOY1196999TotalLiabilitiesBOY
Total Liabilities EOY624131TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14763194NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15590496NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionPROVIDED HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees306NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGLORIA MCCORMICKNamePerson
Telephone Number2122454802TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1322 WEST 48TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100361338ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS OLCOTT
Trustee2.00X000
PAUL LIBIN
Trustee2.00X000
Nina Essman
Trustee2.00X000
MAXINE ROACH
Trustee2.00X000
MARTHA HYDE
Trustee2.00X000
JOHN P O'CONNOR
Trustee2.00X000
JOANN KESSLER
Trustee2.00X000
DAVID LAZAR
Trustee2.00X000
CHRISTOPHER BROCKMEYER
Trustee2.00X000
AUGUSTINO GAGLIARDI
Trustee2.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAGNACAREBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1825 EAST GATE BLVDAddressLine1
CityGARDEN CITYCity
StateNYState
ZIP Code11530ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCLAIMS ADMIN.DescriptionOfServices
Compensation319299Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARTICIPANT CONTRIBUTIONS52510015271911527191
EMPLOYER CONTRIBUTIONS52510081317768131776
COBRA subsidy525100418784418784
FieldValueIRS element (for citing)
Total Program Service Revenue10077751TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column400706TotalRevenueColumn
Exclusion$400,706ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6377413Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6134668Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities242745Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column242745TotalRevenueColumn
Exclusion$242,745ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Business Code525100BusinessCode
Total Revenue Column18355TotalRevenueColumn
Related Or Exempt Function Income18355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue18355TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10739557TotalRevenueColumn
Related Or Exempt Function Income10096106RelatedOrExemptFunctionIncome
Exclusion$643,451ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total8402046Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total135267Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35025Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total41372Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total384462Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18890Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total28553Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29968Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3595Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29343Total

Insurance Insurance

FieldValueIRS element (for citing)
Total23752Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
PERSONAL COSTS - ALLOCATED456092
OVERHEAD ALLOCATION -local 80225083
MISCELLANEOUS170

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9613618Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2739438BOY
EOY1788760EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2036703BOY
EOY1946338EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37368BOY
EOY56478EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis163872LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec76101LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY117114BOY
EOY87771EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11029570BOY
EOY12335280EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15960193BOY
EOY16214627EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY210461BOY
EOY182760EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY67076EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY986538BOY
EOY374295EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1196999BOY
EOY624131EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY14763194BOY
EOY15590496EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14763194BOY
EOY15590496EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15960193BOY
EOY16214627EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1125939ReconcilationRevenueExpenses
Reconcilation Other Changes-298637ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis155120OtherCostOrOtherBasis
Depreciation68112Depreciation
Book Value87008BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8752OtherCostOrOtherBasis
Depreciation7989Depreciation
Book Value763BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings87771TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
BENEFIT OBLIGATIONS$334,263
BANK OVERDRAFT$40,032
FieldValueIRS element (for citing)
Total Of Amounts374295TotalOfAmounts
Total Revenue10739557TotalRevenue
Total Expenses9613618TotalExpenses
Excess Or Deficit For Year1125939ExcessOrDeficitForYear
Net Unrealized GL On Investments-298637NetUnrealizedGLOnInvestments
Other-$393,971OtherAmount
Total Adjustments-692608TotalAdjustments
Excess Or Deficit Per FS433331ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10399548TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-298637NetUnrealizedGainsInvestments
Revenue Not Rptd F990-298637RevenueNotRptdF990
Revenue Subtotal10698185RevenueSubtotal
Other Revenues Not Included41372OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt41372RevenueNotRptdOnFinStmt
Total Revenue Per Form99010739557TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9789358TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9789358ExpensesSubtotal
Other Expenses Not Included-175740OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-175740ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909613618TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SInvestment fees $41372
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesCHANGE IN ACCUMULATED ELIGIBILITY CREDIT $ -0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 2A - NUM OF EMPLW-2S WERE ISSUED TO PARTICIPANTS OF THE PLAN WHO RECEIVED TAXABLE BENEFITS IN ACCORDANCE WITH THE INTERNAL REVENUE CODE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE BOARD OF TRUSTEES REVIEWS THE FUND ADMINISTRATOR'S SALARY ANNUALLY AND APPROVES INCREASES, IF ANY.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsArticle VII of the conflict of interest policy provides for conducting periodic reviews.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 WAS DISTRIBUTED TO ALL TRUSTEES FOR THEIR REVIEW BEFORE FILING.Form 990, Part VI, Line 11

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